Active NPI
Glenn T. Hifumi, M.D.
- Surgery Physician
- Bellflower, CA
National Provider Identifier
1710138466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A68228
- Legal business name
- GLENN T. HIFUMI, M.D.
- Practice address
- 9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8039 - Phone
- (562) 925-8892
- Fax
- (562) 866-5978
- NPI assigned
- Sep 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn T. Hifumi, M.D.
- Title
- President
- Phone
- (562) 925-8892
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A68228 | CA | Primary |
Addresses
Primary practice location
9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8039
Mailing address
9604 Artesia Blvd
Suite 200
Bellflower, CA 90706-8039
Phone (562) 925-8892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418169600000",
"number": "1710138466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9604 ARTESIA BLVD",
"address_2": "SUITE 200",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907068039",
"telephone_number": "562-925-8892",
"fax_number": "562-866-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9604 ARTESIA BLVD",
"address_2": "SUITE 200",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907068039",
"telephone_number": "562-925-8892",
"fax_number": "562-866-5978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN T. HIFUMI, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-30",
"last_updated": "2014-12-10",
"status": "A",
"authorized_official_last_name": "HIFUMI",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-925-8892",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A68228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.